Tynaco LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TYNACO LLC

Practice address

1555 N Freedom Blvd # 200W
Provo, UT 84604-2519

Phone

(385) 204-4025

NPI assigned

Oct 30, 2025

Last updated

Oct 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ty Palmer

Title

Chief Executive Officer

Phone

(801) 673-6312

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1376412395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W 1970 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N FREEDOM BLVD # 200W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042519",
            "telephone_number": "385-204-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-673-6312"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.